This plan offers a range of benefits along with extras that other KanCare plans don't offer. We also offer extra support and care to adults and children who need help with daily activities. You qualify based on income and health needs. View the benefits below to see all that it offers.
Companionship is important. Adult day care provides care and companionship for frail elderly waiver members who need extra help during the day. Caregivers also benefit, knowing their loved one is well cared for and safe during the day.
Adult day care can provide:
Do you or a family member have trouble managing asthma or COPD symptoms? A nurse who specializes in breathing issues can really help. You will get a customized treatment plan and medicine to:
If you live with a disability or chronic health condition, you may need extra help to stay in your own home. Our plan gives members who qualify the services needed to be safe and comfortable. An attendant can provide:
You and your caregiver can decide which chores you want your care attendant to do in your home.
Required care is 100% covered with no copay. 這些包括：
The daily care and safety of our members is important. That’s why we conduct home visits for eligible waiver members who need extra help staying at home.
During this visit we:
Do you have a disability or a serious health problem? If your health needs qualify then our care coordinators are in your corner. They will:
Your care coordinator will stay with you throughout the medical journey. He or she will:
在哪裡生孩子是一項重要決定。That's why you can pick from hospitals across Kansas and surrounding states.
We also encourage you to tour the hospital's birthing center. 這樣您可以熟悉它。And be more relaxed when you have your baby.
Contact Member Services for help applying for a cell phone plan.
您的主要照護醫師 (PCP) 就是您的主治醫師。使用醫師查詢來查看您的醫師是否在我們的網路內。
If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.
您的主要照護醫師 (PCP) 就是為您提供下列服務的主治醫師：
Child members up to age 20 receive Preventative exams and cleaning 2 times a year. This helps keep teeth and gums strong and healthy.
Adults over 20 can visit participating dental provider for exams, x-rays, cleanings and fillings. Covers up to $500 per year*.
*The $500 coverage that includes fillings begins in 2019
If you have diabetes, we'll help make life a little easier for you. 您將獲得藥物、用品和教育資訊，協助您達到並維持最佳狀態。
Our diabetes program also includes self-care training and classes focused on:
If you have chronic or high-risk illnesses, our disease management services may help you. We provide support for:
If you are on one of the waiver programs and at risk for a fall or sudden illness, an emergency call system can really help. It sends an urgent request for someone to check on you and help you.
Our plan covers medical equipment ordered by your doctor. This might include supplies like:
Children can get the exams needed to help keep your feet in great shape. And if you have diabetes, good foot care can help prevent much more serious problems.
加入「Healthy First Steps」計劃，爲您和您的寶寶創造健康的未來，並賺取豐厚獎勵。我們的計劃將幫助您採取正確的步驟來保持您和寶寶的健康。此外，註冊還可以賺取$20獎勵。
If you are on the PD or TBI waiver and live with a disability or chronic health condition, we may be able to arrange home meal deliver. You will not be eligible if you are getting home meals through different program.
If you have health or mobility challenges, you may need extra help with day-to-day tasks. You may even need an in-home medical visit to check on how well you are healing. If ordered by a doctor for medical reasons, our Plan covers:
醫師和您需要相互瞭解，無法說流暢的英文會造成困難。We can arrange for a medical interpreter to be available for you over the telephone at your appointments.
We'll help you get the information needed to improve your health or be at your best.
There are no copays for covered drugs. You can fill your prescriptions at local pharmacies.
The medical card will cover many services and items. In order for a service to be covered, you must use a Kansas Medicaid provider. The type of coverage you have will determine how you receive coverage.
Specific limits and guidelines apply to all services, and these change often. Before getting any service or item, contact KMAP/MCO Customer Service. A general list of KMAP/MCO covered services is included on our website at https://www.kmap-state-ks.us/Public/Beneficiary/default.asp.
Medicaid requires some services to be approved before you get them. Your provider knows which services need prior authorization and is responsible for obtaining it for you. Medicaid will send you and your provider a letter approving or denying the prior authorization request.
有時候您可能需要一些協助，以瞭解您的健康照護選擇。With us, you have someone you can call Monday-Friday 8 am - 6 pm at 1-877-542-9238. 我們將簡潔完整地回答您的問題。
Medical questions and situations sometimes happen at inconvenient times. 當您有關於健康方面的疑問時，可致電護士，服務時間一週 7 天，一天 24 小時。Call 1-855-575-0136.
Your pregnancy is a journey and you will need help along the way. You can visit a family doctor or pregnancy doctor (OB-GYN) to get the care you need.
Positive role models can make a big difference in a child's life. That's why we provide one free activity each year at local youth organizations, like:
You know the bad health effects of smoking. You know you need to quit. We support you while you quit with coaches and supplies. The only thing you won't get from us is a lecture.
You can also call the KanQuit smoking line at 1-800-784-8669 for support.
Are you a waiver member who has family members or friends who care for you in your home? 如果是這樣，我們也希望能支援他們的辛苦工作。所以我們提供喘息照護，讓您的照顧者休息一下。留看護理為照護人員提供了時間，讓他們可以離開他們關愛的或需要特殊照護的家人。Some members can get extra respite care. Ask your Care Coordinator if you qualify.
When approved by a doctor, covered therapies include:
Our plan provides needed rides to and from health care locations for medical appointments. That includes trips to:
You'll get the care, eyeglasses and treatment that let you see life more clearly. 承保範圍包括：
This benefit is offered by OptiCare.
There are no copayments for preventive care. Earn Community Rewards points for getting exams.
UnitedHealthcare Community Plan KanCare